Organization Active NPI

Neuroscience Specialists PC

  • Neurological Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1548239494
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSCIENCE SPECIALISTS PC
Practice address
14100 Parkway Commons Dr Ste 100
Oklahoma City, OK 73134-6036
Phone
(405) 748-3300
Fax
(405) 749-1671
NPI assigned
Mar 14, 2006
Last updated
Feb 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Nicholas McCollum
Title
Director of Technology
Phone
(405) 748-3300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X NU
Neuromusculoskeletal Medicine & OMM Physician 204D00000X NU
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

14100 Parkway Commons Dr Ste 100
Oklahoma City, OK 73134-6036

Mailing address

14100 Parkway Commons Dr Ste 100
Oklahoma City, OK 73134-6036
Phone (405) 748-3300

Other identifiers 2

IdentifierTypeStateIssuer
CN6921OtherOKMEDICARE RAILROAD
100746190AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031111000359 OK Part B Supplier - Clinic/Group Practice 3375456718 Receives reassigned benefits from 28 practitioners
Practice locations: Norman, OK; Oklahoma City, OK
O20150806010559 OK DME Supplier - Physician - Neurosurgery 3375456718 Practice locations: Oklahoma City, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2086938Neuroscience Specialists PC14100 Parkway Commons Drive, Ste 100, Oklahoma City, OK 73134Certificate of waiverNov 13, 2026

National Provider Directory

National Provider Directory

Locations

10914 Hefner Pointe Dr
Ste 200
Oklahoma City, OK 73120
Phone (405) 463-3337

14101 Parkway Commons Dr
Ste 100
Oklahoma City, OK 73134

4120 W Memorial Rd
#6921
Oklahoma City, OK 73120

4120 W Memorial Rd
Ste 118
Oklahoma City, OK 73120
Phone (405) 748-4700

4120 W Memorial Rd
Ste 300
Oklahoma City, OK 73120
Phone (405) 748-3300

4140 W Memorial Rd
Ste 200
Oklahoma City, OK 73120
Phone (405) 749-7001

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1548239494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 PARKWAY COMMONS DR STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346036",
            "telephone_number": "405-748-3300",
            "fax_number": "405-749-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 PARKWAY COMMONS DR STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346036",
            "telephone_number": "405-748-3300",
            "fax_number": "405-749-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSCIENCE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "MCCOLLUM",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DIRECTOR OF TECHNOLOGY",
        "authorized_official_telephone_number": "405-748-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CN6921",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100746190A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.